Individual
DINA F TANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1619B ASH ST, JB MDL, NJ 08640-1511
(929) 286-1617
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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